Analyze billing procedures and modifiers to resolve billing issues, rejections, denials, and appeals.
Work with Medicaid and all other governmental and commercial insurance carriers to resolve claim errors.
Review billing charges and other data for accuracy and potential reimbursement enhancement.
Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes.
Respond to questions from staff, insurance carriers, and clients.
Run, review, and summarize reports for billing, reimbursement, and accounts receivable.
Work collaboratively with clinical and health information systems staff regarding billing/coding revisions in the electronic billing system.
Work as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner.
Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement.
Other duties as assigned
Health Departments are always looking for exceptional workers!
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